JASPER GILL (DO) – Sports Medicine (Family Medicine) Physician, NPI 1700205846
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for JASPER GILL (DO)
4986 N ADAMS RD STE A
ROCHESTER, MI 483065017
Phone:
Type: Mailing
3031 W Grand Blvd
Suite 450
Detroit, MI 482023046
Phone: (313) 346-5235
Type: Location
244 N Congress Ave
Boynton Beach, FL 334264212
Phone: (781) 254-8837
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180810001686 | I | Sports Medicine | MI | TBD |
| I20240131002324 | I | Family Practice | TX | TBD |
| I20240429002013 | I | Family Practice | FL | TBD |
| I20240530000200 | I | Family Practice | VA | TBD |
| I20240627000114 | I | Family Practice | MD | TBD |
| I20240730001839 | I | Family Practice | DC | TBD |
| I20240801001584 | I | Family Practice | CT | TBD |
| I20251022001298 | I | Family Practice | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48306)
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